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Internal herniation is a rare cause of acute abdomen. If it is not diagnosed and treated in time, it can cause death. This case report discusses the clinical findings and surgical treatment of a case of left paraduodenal hernia, a rare cause of internal herniation. The diagnosis and treatment process of a 24-year-old female patient with ileus findings was retrospectively evaluated and presented in the literature. The patient was operated on with a preliminary diagnosis of internal herniation and the definitive diagnosis was made intraoperatively. At laparotomy, it was observed that almost all of the small intestines herniated posteriorly from the left paraduodenal region. Small intestinal loops were reduced and the hernia sac defect was primarily repaired. The patient was discharged on the fifth postoperative day with complete recovery. Left paraduodenal hernia is a type of internal herniation that should be considered in the differential diagnosis of patients with recurrent abdominal pain and intestinal obstruction. Surgical reduction and primary repair of the defect is an appropriate treatment.

Rhino-orbital mucormycosis (ROM) is an acute and fulminant infection. The number of ROM cases developing after coronavirus disease 2019 (COVID-19) is increasing. A 62-year-old male patient was admitted to the emergency department in northern Syria complaining of new-onset vision loss, swelling, and severe swelling of the left eye. It was noted that a 3-day course of prednisolone 250 mg was given to treat COVID-19. We found that he had a history of diabetes mellitus (DM) for 10 years. Physical examination revealed ptosis, proptosis, and ocular movement restriction in all directions in the left eye. All other systemic examinations were normal. A cranial and orbital magnetic resonance imaging scan performed after hospitalization for further evaluation and treatment showed an increase in the density of the sphenoid, ethmoid, and frontal sinus walls in the left orbit. Despite antifungal and surgical treatment, the patient died on day 14. The use of steroids in treatment and the presence of concomitant DM are the main predisposing factors. The prognosis of this disease, which has a high mortality and morbidity, is adversely affected in geographic regions where health care is inadequate.

Objective: Our study, it was aimed to evaluate the patients who applied after being affected by chemical gas in northwest Syria, to examine the treatment results, and to raise awareness about chemical gas attacks. Method: The study included 43 patients who applied to the emergency department of our hospital, who felt an odor similar to the smell of onion and garlic and were sick. Our research is a retrospective study. Retrospective data were collected from the files of patients admitted after gas exposure. Statistical analyzes of the study were performed using Statistical Package for Social Sciences version 25.0 software for Windows. P-value below 0.05 in all statistical analyzes were interpreted as statistically significant. Results: All 43 patients were male. The mean age was 24.86 ∓ 8.81 years. Vital signs at the time of application; mean blood pressure 97.23 ∓ 5.61 mmHg, fever 37.2 ∓ 0.57 °C, heart rate 99.28 ∓ 9.89 / min, oxygen saturation 96.43 ∓ 1.53 %. In total, 3 patients had convulsions. 20 patients had agitation and spasm sensation, 12 patients had redness of the eyes and 42 patients had complaints of shortness of breath. Conclusion: Awareness, rapid decontamination, and symptomatic treatment are thought to be very important in minimizing the devastating effects of chemical attack agents.